Alloy vs OnlyRx
An in-depth comparison of two leading GLP-1 Providers
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Alloy
Best for women in menopause/perimenopause who want a Menopause Society-certified clinician AND the broadest brand+compounded GLP-1 formulary in our directoryStarting at $80/mo
OnlyRx
Best for Buyers comparing cash-pay compounded-GLP-1 platforms who want oral-tablet form factors (ODT) alongside the standard subcutaneous injection, value the transparency of named prescribers + named pharmacy partners, and accept a four-pharmacy fulfillment model rather than a single named compounder.Starting at $179/mo
Side-by-Side Comparison
| Feature | Alloy | OnlyRx |
|---|---|---|
| Overall Score | ✓7.4/10 | 6.4/10 |
| Starting Price | ✓$80/mo | $179/mo |
| Editorial Rating | ✓3.7 ★ /5 | 3.2 ★ /5 |
| Features | 8 features | ✓10 features |
| States Available | 0 | 0 |
| Compounded | ✓ Yes | — |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
Pros & Cons
Alloy
Pros
- ✓Broadest GLP-1 formulary in our catalog: brand Wegovy + brand Zepbound + oral Wegovy + compounded semaglutide + compounded tirzepatide + compounded liraglutide
- ✓All consulting doctors are certified by The Menopause Society — only ~1,000 such certified practitioners exist among ~20,000 OB-GYNs in the US
- ✓Brand-name Wegovy starting at $199/mo and compounded liraglutide starting at $80/mo cover both ends of the price/access spectrum
- ✓STARTGLP1 promo code knocks $50 off the first month per the public site
Cons
- ✗Not available in Louisiana or Mississippi (verified) — readers in those two states should be routed elsewhere
- ✗Initial consultation is $49 and is separate from medication cost — readers should know there's a non-refundable upfront fee
- ✗Menopause-specialty framing — best fit for women in menopause/perimenopause, not the right product for men or younger women whose primary need is weight loss
OnlyRx
Pros
- ✓Four-pharmacy fulfillment network (Belmar, Strive, Epiq Scripts, Casa Pharma RX) — three of four are already in our pharmacy registry with independent verification
- ✓Named prescriber roster on the public site (Dr. Carr MD, Dr. Tenbrink MD, Dr. Italia MD, Dr. Mansour DO) — stronger transparency than peers with anonymous clinical networks
- ✓ODT (oral disintegrating tablet) compounded form for both semaglutide and tirzepatide — uncommon offering that fits needle-averse patients
- ✓Server-side rendered Nuxt site (not a SPA blank shell) — pricing, drug list, pharmacy partners, and physician roster all extractable from the static HTML, reducing the YMYL opacity penalty most newer entrants take
- ✓LegitScript Certified claim on the public site
- ✓Branded Ozempic/Wegovy/Zepbound/Mounjaro available alongside the compounded line — patients can step up to FDA-approved branded products without switching platforms
Cons
- ✗Promo pricing ($179 semaglutide injection floor) is marketed prominently; the post-promo maintenance dose pricing is not surfaced on the static site
- ✗No specific titration ladder pricing — buyers can't see what they'll pay at 1.0 mg or 2.4 mg semaglutide maintenance
- ✗Refund / cancellation policy not stated on the homepage
- ✗Lab-work requirement not stated — most legitimate GLP-1 telehealth platforms require baseline labs or a recent metabolic panel
- ✗LegitScript merchant-ID independent lookup at safe.legitscript.com NOT verified this cycle (claim is on the site but independent confirmation pending)
- ✗Operating corporate entity not disclosed in the static HTML — the platform self-describes as connecting patients to independent licensed providers but does not name the operating LLC or corporation
- ✗Epiq Scripts is the one named pharmacy partner not yet independently verified in our pharmacy registry
Our Verdict
Alloy edges out OnlyRx with a higher overall score of 7.4/10 and is particularly strong for women in menopause/perimenopause who want a Menopause Society-certified clinician AND the broadest brand+compounded GLP-1 formulary in our directory. OnlyRx remains a solid alternative, especially if you're looking for Buyers comparing cash-pay compounded-GLP-1 platforms who want oral-tablet form factors (ODT) alongside the standard subcutaneous injection, value the transparency of named prescribers + named pharmacy partners, and accept a four-pharmacy fulfillment model rather than a single named compounder..
Glossary references
Key terms in this article, linked to their canonical definitions.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.